Abstract

Respondent-driven sampling was used to recruit female sex workers (FSWs) for a community survey conducted in southern India. After survey completion, participants were given a brochure describing a clinical trial that entailed daily use of a placebo vaginal gel for four months. This study assessed predictors of screening among survey respondents, predictors of enrollment among those eligible for the trial, and predictors of visit attendance and retention among those enrolled. FSWs who reported having symptoms of sexually transmitted infections (STI), engaging in sex work in the past month, and living in a subdistrict easily accessible by public transportation with a high concentration of FSWs, were more likely to screen. FSWs who had never been tested for HIV were more likely to enroll. This analysis suggests that the primary reason FSWs participated in the trial was a desire for health care—not other factors hypothesized to be important, e.g., HIV risk perception and poverty status.

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Acknowledgments

Funding for this research was provided by the Office of Population and Reproductive Health, Bureau for Global Health, United States Agency for International Development (USAID), Award Number GPO-A-00-04-00019; by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Grant No. R21-HD060270; and by the Indian Council of Medical Research (ICMR), Award No. Indo-US/54/2007-ECD II. The contents of this manuscript are solely the responsibility of the authors and do not necessarily reflect the views of USAID, NICHD or ICMR.

NACO. HIV Sentinel Surveillance and HIV Estimation in India 2007: a technical brief. New Delhi: National AIDS Control Organisaion, Ministry of Health and Family Welfare, Government of India. October 2008.Google Scholar

32.

NACO. HIV Fact Sheets: based on HIV Sentinel Surveillance Data in India 2003–2006. New Delhi: National AIDS Control Organisation, Ministry of Health and Family Welfare. November 2007.Google Scholar